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Titolo:
Combined video-assisted mediastinoscopy and video-assisted thoracoscopy inthe management of lung cancer
Autore:
Mouroux, J; Venissac, N; Alifano, M;
Indirizzi:
CHU Nice, Serv Chirurg Thorac, Hop Louis Pasteur, F-06002 Nice 1, France CHU Nice Nice France 1 Thorac, Hop Louis Pasteur, F-06002 Nice 1, France
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 5, volume: 72, anno: 2001,
pagine: 1698 - 1704
SICI:
0003-4975(200111)72:5<1698:CVMAVT>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXTENDED CERVICAL MEDIASTINOSCOPY; LEFT UPPER LOBE; BRONCHOGENIC-CARCINOMA; COMPUTED-TOMOGRAPHY; NEOADJUVANT THERAPY; SURGERY; CHEMOTHERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Mouroux, J CHU Nice, Serv Chirurg Thorac, Hop Louis Pasteur, 30 Ave Voie Romaine,BP 69, F-06002 Nice 1, France CHU Nice 30 Ave Voie Romaine,BP 69 Nice France 1 ice 1, France
Citazione:
J. Mouroux et al., "Combined video-assisted mediastinoscopy and video-assisted thoracoscopy inthe management of lung cancer", ANN THORAC, 72(5), 2001, pp. 1698-1704

Abstract

Background. This study seeks to assess the safety and usefulness of combined video-assisted mediastinoscopy and video-assisted thoracoscopy in the management of patients with lung cancer. Methods. Ten consecutive patients with lung neoplasms were evaluated. Indications for this combined approach included inconclusive findings from imaging techniques concerning locoregional extension and resectability; possible involvement of different structures not accessible to a single procedure;and failure to obtain histologic diagnosis by a single technique. Results. Histologic diagnosis was obtained in 6 patients without preoperative histologic typing. In 3 patients, in contrast with preoperative imagingstudies, combined thoracoscopy and mediastinoscopy showed the resectability of the primary tumor and the absence of metastatic mediastinal lymph nodes. These findings were confirmed at thoracotomy. In 3 other patients prevascular lymph nodes metastases were found. They underwent neoadjuvant chemotherapy; at subsequent operation, a complete resection was possible. In the remaining four cases combined exploration proved definitive contraindications for operation (recognition of oat-cell carcinoma, n = 2; T4 status, n = 1; T3N2, n = 1). Conclusions. Combined video-assisted mediastinoscopy and video-assisted thoracoscopy seems to be a safe and useful tool in the management of selectedpatients with lung neoplasms. Both the extent of primary tumor and the possible intrathoracic spread may be exhaustively evaluated. In patients with left lung cancer a complete exploration of the aortopulmonary window is possible. (C) 2001 by The Society of Thoracic Surgeons.

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Documento generato il 04/04/20 alle ore 21:34:18